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1600 N State Road 7 Suite 400 Lauderhill FL 33313-5853 | |
| (954) 581-9228 | |
| (954) 626-3650 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1600 N State Road 7, Lauderhill, Florida |
| Authorized Official Name and Position | Bassil Akel (OWNER) |
| Authorized Official Contact | 9545819228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1600 N State Road 7 Suite 400 Lauderhill FL 33313-5853 Ph: (954) 581-9228 | 1600 N State Road 7 Suite 400 Lauderhill FL 33313-5853 Ph: (954) 581-9228 |
| NPI Number | 1417218389 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 06/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417218389 | NPI | - | NPPES |
| 000338400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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